Individual
MARIIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1625 N 4TH ST STE 203, COEUR D ALENE, ID 83814-6178
(208) 625-0244
Mailing address
118 N 7TH ST STE C9, COEUR D ALENE, ID 83814-2763
(208) 625-0244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3508
ID
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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